Creative Change Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE CHANGE COUNSELING CENTER

Practice address

3350 McFaddin St
Suite 7
Beaumont, TX 77706-5033

Phone

(409) 838-3200

Fax

(409) 838-3201

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Forest E. Woodley, MHP, CDC

Title

C. E. O.

Phone

(409) 838-3200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rayann St. Peter, LPC

  • Professional Counselor
  • Beaumont, TX
  • NPI 1386806289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1780846048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 MCFADDIN ST",
            "address_2": "SUITE 7",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065033",
            "telephone_number": "409-838-3200",
            "fax_number": "409-838-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 MCFADDIN ST",
            "address_2": "SUITE 7",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065033",
            "telephone_number": "409-838-3200",
            "fax_number": "409-838-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHANGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "C. E. O.",
        "authorized_official_telephone_number": "409-838-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHP, CDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Craanen, DPT
• Nina Elizabeth Crabtree, LCDC
• Susan K Craig, M.D.
• Crawford Andrews & Davis PTR (Radiology Associates, L.L.P.)
• Nakia Antoinette Crawford
• Cric Enterprise LLC
• Charles Brian Crim, M.D.
• Jason W. Crookshank, CRNA
• Crista Crouch
• Levon Ray Cruce, CP BOCPO

• Mental Health Counselor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.